NCQA Accreditation, Recognition, and Certification Programs

Understanding and navigating the process for achieving the highest award possible for NCQA accreditation, recognition, and certification program standards is our focus. Our experts who are all NCQA external surveyors help organizations navigate this complex, tedious process. Services we provide include:

• On-site and/or virtual staff training and technical assistance in understanding NCQA standards and the survey process.
• Completion of a gap analysis to determine eligibility and identify areas of deficiency with meeting NCQA standard elements and factors.
• Development of a customized project plan.
• Project management oversight through regular communication and project facilitation.
• Assistance with redesign of staffing models to maximize clinical and non-clinical resources in support of organization transformation to comply with NCQA standards.
• Document preparation readiness for upload to NCQA’s survey tool for surveyor review.
• A mock review prior to survey tool submission.
• Support throughout the survey review process to completion.
• Support to random audit response requests.
• Ongoing post survey management of compliance for ease in the renewal process.

The NCQA programs we provide consultation in are:

• Health Plan Accreditation.
• Case Management Accreditation.
• Long-Term Services and Supports (LTSS) Accreditation.
• Population Health Accreditation.
• Health Equity/Health Equity Plus (HE/HE+) Accreditation.
• Utilization Management Accreditation.
• Provider Network Accreditation.
• Credentialing/Credentials Verification Accreditation/Certifications.
• PCMH Recognition.